| NPI | 1891169496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SHELTON Corp Secretary 601-956-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-03-22 |